STAR MEDICAL CLINIC INC. (NPI# 1790037224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790037224 |
| Entity Type | Organization |
| Organization Name | STAR MEDICAL CLINIC INC. |
| Practice Address |
1217 Mellen St Centralia WA 98531-1175 |
| Mailing Address |
605 Se Prospect St Chehalis WA 98532-4308 |
| Practice Telephone | 3607408546 |
| Practice Fax Number | 8668741472 |
| Mailing Telephone | 3602695541 |
| Mailing Fax Number | 8668741472 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | MR. ERIC G CARLSON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3602695541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1217 MELLEN ST |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194908368 | Dr. Thomas Cooke | Family Medicine | 1217 Mellen St, Centralia, WA 98531-1175 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124117197 | Providence Health & Service Washington | Clinic/Center | 1010 South Scheuber Rd, Suites 3 & 4, Centralia, WA 98531-8892 | 2006-10-11 |
| 1598254617 | Absolute Health International Inc | Clinic/Center | 2020 Borst Ave, Centralia, WA 98531-1404 | 2018-05-03 |
| 1699045740 | Dr Shrestha Md Sc | Clinic/Center | 1050 M L King Dr, Suite 111, Centralia, IL 62801-3060 | 2012-01-06 |
| 1932397510 | My Urban Clinic, Inc | Clinic/Center | 817 E Mccord, Centralia, IL 62801 | 2007-10-09 |
| 1689873937 | Providence Health & Services Washington | Clinic/Center | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2007-07-17 |
| 1265495824 | Ambulatory Surgery Center of Centralia, LLC | Clinic/Center | 1045 Martin Luther King Dr, Centralia, IL 62801-3001 | 2006-04-06 |
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| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.